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J Minim Invasive Gynecol. 2014 Sep-Oct;21(5):825-9. doi: 10.1016/j.jmig.2014.03.012. Epub 2014 Mar 26.

Barbed suture vs traditional suture in single-port total laparoscopic hysterectomy.

Author information

1
Department of Obstetrics and Gynecology, CHA Gangnam Medical Center, CHA University, Seoul, Korea.
2
Department of Obstetrics and Gynecology, National Health Insurance Service Ilsan Hospital, Goyang, Korea. Electronic address: sanaram@naver.com.

Abstract

STUDY OBJECTIVE:

To compare surgical outcomes between barbed suture and traditional suture used in repair of the vaginal vault during single-port total laparoscopic hysterectomy (TLH).

DESIGN:

Case-control study (Canadian Task Force classification II-2).

SETTING:

Two institutions.

PATIENTS:

One hundred two patients with benign uterine disease.

INTERVENTIONS:

Single-port TLH using barbed suture (n = 43) or traditional suture (n = 59).

MEASUREMENTS AND MAIN RESULTS:

Patient characteristics (age, body mass index, demographic data), procedures performed, uterine weight, and uterine disease were similar between the 2 study groups. There were also no differences in operative complications, conversion to other surgical approaches, operative blood loss, postoperative pain, and duration of hospital stay between the 2 groups. Use of barbed suture significantly reduced the time required for vaginal cuff suturing (11.4 vs 22.5 minutes; p < .001), as well as total operative time (92.0 vs 105.2 minutes; p = .002). Use of barbed suture is less technically demanding than traditional suture (p < .001).

CONCLUSION:

Use of barbed suture in single-port TLH may aid surgeons by reducing operative time, suturing time, and surgical difficulty.

KEYWORDS:

Barbed suture; Hysterectomy; Single-port; V-Loc

PMID:
24681166
DOI:
10.1016/j.jmig.2014.03.012
[Indexed for MEDLINE]

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